Kuratsu J, Itoyama Y, Uemura S, Ushio Y
Dept. of Neurosurgery, Kumamoto Univ. Med. School.
Gan No Rinsho. 1989 Sep;35(11):1255-60.
There have been conflicting opinions regarding the correct volume to be used in radiotherapy fields for malignant glioma. Whereas many clinicians recommend limited fields designed to cover the tumor volume with a margin according to the facts about 90% of recurrent malignant glioma regrew within 2 cm of the original tumor and regrowth away from the original tumor was seen in about 5%. Two cases of malignant glioma regrew away for the original tumor and one case of malignant glioma regrew into the resected site were presented. And the biological characteristics of glioma cells concerning with the invasiveness were discussed.
关于恶性胶质瘤放射治疗野应使用的正确体积,一直存在相互矛盾的观点。许多临床医生建议采用有限的照射野,根据以下事实,即约90%的复发性恶性胶质瘤在原肿瘤2厘米范围内复发,约5%在远离原肿瘤处复发,照射野应覆盖肿瘤体积并留一定边界。文中介绍了两例恶性胶质瘤在远离原肿瘤处复发以及一例恶性胶质瘤复发至切除部位的病例。并讨论了与侵袭性相关的胶质瘤细胞生物学特性。